The iliotibial band is a thickening of the fascia on the lateral side of the thigh. The IT band goes from the lateral side of the ilium down to the tibia. When it is tight it can cause pain on the lateral side of the knee, proximal to the knee joint.
Some therapists work directly on the IT band, but because it is a long tendon it does not stretch. A much better way of lengthening the IT band is to stretch the muscles that attach into this long tendon, which are the tensor fascia lata and the lateral fibers of the gluteus maximus.
This 22 minute video shows a treatment of a client with a knee replacement and a tight iliotibial band. Rather than focusing only on the problem area, the therapist does an assessment and treatment of all the related structures, using techniques from a number of different modalities. Techniques used include PNF Stretching, Reciprocal Inhibition, Active Isolated Stretching, and lengthening of muscles while using eccentric contraction.
The therapist, Mike Sweet, is a graduate of Healing Arts Institute. He has taken many advanced classes, including Orthopedic Massage with James Waslaski, and Resistance Release Training with Deane Juhan. He can be reached at 916-847-5760.
Iliotibial Band Tightness 2
iliotibial Band Treatment
Cupping - TFL and Gluteus Maximus
Cupping - Iliotiblal Band